内容紹介
Summary
During a follow-up study after the treatment of T cell lymphoma, a 21-year-old man reported an intra-abdominal mass in his right lower abdomen, which was then confirmed using abdominal CT. Therefore, recurrence was suspected due to his medical history. To perform a biopsy, laparoscopic surgery was scheduled, which located the tumor in the mesentery of the terminal ileum, involving the cecum. For this, laparoscopic ileocecal resection was performed. After 7 days, the patient was discharged without complications. Histopathologically, the mass was diagnosed as a desmoid tumor via immunostaining. It is relatively rare that an intra-abdominal desmoid tumor occurs without risk factors in a young man. We herein report a case of an intra-abdominal desmoid tumor, which was successfully treated using laparoscopic surgery.
要旨
症例は21歳,男性。当院血液内科にて悪性リンパ腫の治療寛解2年後に,右下腹部腫瘤を自覚した。腹部CTで回盲部に腫瘤性病変を認め,再発の疑いで当科へ生検目的で紹介となった。腫瘤は盲腸に浸潤しており,腹腔鏡下回盲部切除術を施行した。病理組織学的に再発は否定され,デスモイド腫瘍と診断された。開腹歴のない若年性の腹腔内デスモイド腫瘍の報告例は少ないため,文献的考察を加えて報告する。
目次
During a follow-up study after the treatment of T cell lymphoma, a 21-year-old man reported an intra-abdominal mass in his right lower abdomen, which was then confirmed using abdominal CT. Therefore, recurrence was suspected due to his medical history. To perform a biopsy, laparoscopic surgery was scheduled, which located the tumor in the mesentery of the terminal ileum, involving the cecum. For this, laparoscopic ileocecal resection was performed. After 7 days, the patient was discharged without complications. Histopathologically, the mass was diagnosed as a desmoid tumor via immunostaining. It is relatively rare that an intra-abdominal desmoid tumor occurs without risk factors in a young man. We herein report a case of an intra-abdominal desmoid tumor, which was successfully treated using laparoscopic surgery.
要旨
症例は21歳,男性。当院血液内科にて悪性リンパ腫の治療寛解2年後に,右下腹部腫瘤を自覚した。腹部CTで回盲部に腫瘤性病変を認め,再発の疑いで当科へ生検目的で紹介となった。腫瘤は盲腸に浸潤しており,腹腔鏡下回盲部切除術を施行した。病理組織学的に再発は否定され,デスモイド腫瘍と診断された。開腹歴のない若年性の腹腔内デスモイド腫瘍の報告例は少ないため,文献的考察を加えて報告する。